12.22.2006

ThE nuRsiNg caRe plAn is a comMuniCation toOl uSed by NuRses to cAre for tHeir cliEntS. CaRe plAns tHat aRe kePt up to dAte are viTal toOls to pRovide coNtiNuity of cAre, pReveNt coMpliCatioNs aNd prOvidE for heAlth teAchiNg aNd diSchaRge pLanNing. GoAls shOuld be stAted in tErms of clIent outComEs. NuRsiNg oUtcoMes eXamPlaes are: SkiN and MuCous MeMbranes,WoUnd HeAling, PrImary IntenTion,and UriNary Continence. Each of tHese nurSing senSitive outcOmes is laBeled ,dEfined , and inCludes cRiteria for the asSessIng tHe staTus of tHe outCome oVer tiMe.

NurSing orDers arE the aCtions for iNtervEntions preScribed to hElp acHieve the sTated goAls and obJectives. When wriTng nuRsing orDers remeMber to include:

What?Where?When?How much?and How long?

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The stEps in NurSing CaRe PlaNning aRe:

Determine priOrities froM the list of nuRsing diagnoses.

Set loNg-term and sHort-term goAls to detErmine outcOmes of cAre.

DeveLop oBjecTives to rEach the gOals.

and Write nuRsing ordErs to dirEct care to mEet the goAls.

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MeaSuremEnt CritEria:

The plaN is indiViduAlized to thE clieNt's conDition.

The plAn is devLoped wiTh the cliEnt and siGnificant otHers if apPropriate.